Michael Garron Hospital Outpatient Diagnostic Imaging Requisition

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  • Create Date December 22, 2024
  • Last Updated December 22, 2024

Michael Garron Hospital Outpatient Diagnostic Imaging Requisition

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Created at the request of Leo Pavone. Requisition for Diagnostic Imaging at the Michael Garron Hospital. This eform has a drawing function for the breast diagram. It has a weight check for the BMD requests. If there is a LMP saved in the chart it will pull this for the dating ultrasounds. There are links to other parts of the chart, a web link to the hospital, faxing code, and an email link.

This eForm is protected by the GNU General Public License version 2 (GPLv2)

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MGH Diagnostic Imaging Requisition 2017.zipDownload